Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $28.17 / $109.02	Facility		$28.17	$28.17	$109.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $32.95 / $38.07	Professional		$28.17	$32.95	$38.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $68.45 / $68.45	Professional		$52.12	$68.45	$68.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $84.19	Facility		$42.77	$42.77	$84.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $73.73	Professional		$31.22	$31.22	$73.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $84.19 / $159.96	Professional		$77.45	$84.19	$159.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $47.92 / $51.34	Professional		$46.22	$47.92	$51.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $28.17 / $109.02	Facility		$28.17	$28.17	$109.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $32.95 / $44.54	Professional		$28.17	$32.95	$44.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $114.80 / $165.90	Professional		$56.90	$114.80	$165.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $84.19	Facility		$42.77	$42.77	$84.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $79.50	Professional		$31.22	$31.22	$79.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $65.15 / $65.15	Facility		$48.94	$65.15	$65.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $65.15 / $80.14	Professional		$48.94	$65.15	$80.14
United Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $33.85 / $39.47	Facility		$26.31	$33.85	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $34.29 / $56.92	Professional		$28.62	$34.29	$56.92